| NPI | 1952757965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN 20189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 212678) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-01-31 |